Displaying 213181-213190 of 1611142 results.
ID:
213181
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
237367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213182
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860463
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213183
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213184
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213185
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
615107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213186
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213187
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
847626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213188
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213189
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
240637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213190
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
204466
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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